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At the time of the inspection, how many clients were in care and attending day programs?
LPA conducted an unannounced Annual/Required inspection at this facility. Upon arrival LPA met with licensee who assisted with the visit. There are currently six clients in care. All six clients are attending their day programs.
During the tour of the facility, an LPA observed that a window in one of the clients’ bedrooms was ________.
During the tour of the facility LPA observed. A window in one of the clients bedrooms was broken with sharp glass pieces around it. This poses an immediate health and safety risk to clients in care.
True or False:
The facility’s temperature was comfortable, with sufficient lighting.
All outdoor, indoor, passageways, and stairways are free and clear of obstruction. The facility’s temperature was comfortable, with sufficient lighting. There are no pools at the facility. All toxins were locked and inaccessible to clients.
Match this deficiency with the proper Plan of Correction.
Storage areas for firearms and other dangerous weapons shall be locked. During the inspection of the kitchen LPA observed several sharp kitchen knives in the drawers accessible to clients.
| Deficiency Type / Section Number | DEFICIENCIES | PLAN OF CORRECTIONS (POCs) |
|---|---|---|
| Type A 04/27/2017 Section Cited 80087(a) | Buildings and Grounds. The facility shall be kept clean, sanitary and in good repair at all times. During the tour of the facility LPA observed. A window in one of the clients bedrooms was broken with sharp glass pieces around it. This poses an immediate health and safety risk to clients in care* | The licensee will have the window repaired/replaced by POC date of 4/27/17. |
| Type A 04/13/2017 Section Cited 80088(e)(1) | Fixtures, Furniture Equipment and Supplies. Hot water delivered to fixtures used by clients shall attain a hot water temperature of not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C). The water temperature in the facility tested at 125.6 degrees. | The licensee ensured that the water temperature used by clients will always be maintained between 105 to 120 degrees. The water heater was adjusted during the visit. CORRECTED DURING VISIT. |
| Type A 04/13/2017 Section Cited 80087(g)(1) | Buildings and Grounds. Storage areas for firearms and other dangerous weapons shall be locked. During the inspection of the kitchen LPA observed several sharp kitchen knives in the drawers accessible to clients. | The licensee will ensure that all sharp knives, objects, and dangerous weapons are locked and all times. CORRECTED DURING VISIT. |
| Type B 04/26/2017 Section Cited 80087(a) | Buildings and Grounds. The facility shall be kept clean, sanitary and in good repair at all times. During the inspection LPA observed: broken dresser in one of the client rooms, broken blinds in bathroom, a broken light switch cover in one of the bathrooms, the bathroom toilets, and mirrors were in need of cleaning, a bucket catching water under one of the bathroom sinks. | The licensee will correct, fix, and/or repair all mentioned items by POC date of 4/26/17. |
